Who and how is the ligamentotomy performed?

A man whose genital organ is small may opt for radical treatment methods such as surgery.In this case, ligamentotomy is the best method of penis enlargement, which you will learn about in this article.


Ligamentotomy is a surgical procedure aimed at enlarging the male genital organ.The method is based on crossing the supportive ligaments of the penis, which lie deep in the pelvis.After cutting, the inner part of the penis is stretched to a length of 3 to 5 cm.During the operation, a device is used – an extender.

Indications for surgery

The main indication for ligamentotomy is a penis length of up to 12 cm when fully erect.The most common reason for a small penis is anatomical structure (congenital micropenis).But the operation is also carried out in other cases:

  • reduction in size after injury;
  • hypospadias, in which the urethral opening is in the wrong position;
  • curvature of the penis (Peyronie's disease);
  • epispadias (the upper wall of the urethra is completely or partially split);
  • Replacement of the organ's erectile tissue with connective tissue (cavernous fibrosis);
  • Hereditary diseases - Kallman or Klinefelter syndrome.

pros and cons

Ligamentotomy offers alternative methods of penis enlargement.For example:

  1. With a vacuum pump.
  2. Wearing an extender is temporary.
  3. Special exercises.
  4. Folk recipes
  5. Phallic prosthetic surgery (an artificial implant is inserted).
  6. Lipofilling (your own biological material is introduced).
  7. Introducing hyaluronic acid, gels or synthetic prostheses into the sexual organ.

Each method has its advantages and disadvantages, but none compares in effectiveness to ligamentotomy because it offers the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is a plastic procedure and not a reconstruction, which is why it is considered a safer method.
  2. General anesthesia is excluded, which can be a contraindication for many men.Local anesthesia is used to reduce sensitivity.
  3. The main feature is that there is no need to insert or implant various devices into the genital organ - prostheses, pumps, gels, frames, etc., which can harm the body.But only a “harmless” extension of the rehabilitation period.
  4. Durability of the effect and short recovery period after the procedure.
  5. During the operation, it is possible to additionally eliminate congenital and acquired defects and increase the penis not only in length but also in thickness.
  6. Minimal number of side effects.

Although the surgery offers a 100 percent guarantee of penis enlargement, the end result may vary.In one man, the penis increases by 5 cm, in another only by 2. However, the result largely depends on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection and the development of complications.But this also depends on the patient's body and the professionalism of the surgeon.

Preparation

This plastic surgery requires special preparation, which consists in a preliminary examination of the patient.For this purpose, the following diagnostics are required:

  • Blood sampling for general analysis, degree of coagulation of biological fluid, presence of infections;
  • general urine collection to identify urinary and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • Test to detect an allergic reaction to anesthetics;
  • Ultrasound examination of the pelvic organs;
  • Consultation with a psychologist to identify abnormalities.

What should the patient do:

  • Do not consume alcoholic beverages or drugs the day before surgery.
  • Do not take certain groups of medicines (most commonly anticoagulants, which inhibit blood clotting) for three days.
  • Do not eat or drink anything 6 hours before the operation;
  • Shave the groin area carefully.
  • go swimming.

Before the operation, the surgeon must inform the patient about the progress of the operation.Some doctors show a drawn diagram.

Carrying out the operation

The operation process includes several phases:

  • the patient is placed on a sterile couch;
  • spinal anesthesia is administered;
  • monitor the body's response;
  • the surgeon makes a small incision;
  • feels the binding tape;
  • dissects it with a scalpel;
  • stretches the penis to the maximum length of the band with slow and careful movements (this is different for each person);
  • the incision is stitched;
  • a bandage is applied.

Ligamentotomy can be performed according to the standard method, but in modern medicine a different type of it is used - with the introduction of fatty tissue into the cavity to increase the diameter of the penis.In addition, plastic surgery differs depending on the type of excision - through the scrotum or pubic bone.

Performing a ligamentotomy – penis enlargement surgery

Excision in the scrotal area

This technology is considered the most modern and safest.If the ligament was previously accessed via the pubic bone, it is now via the scrotum, which opens up new possibilities:

  • The operation time is reduced to 10-20 minutes;
  • there is no scar;
  • Soft tissue trauma decreased;
  • it became possible to perform surgical operations with a large amount of fatty tissue;
  • maximum freedom from pain after and during the operation.

Features of the procedure:

  • the skin is incised in the area of the scrotum (the upper part of the sperm sac), after which the soft tissues are pulled apart;
  • access to the ligament apparatus is opened;
  • the superficial sling ligament is severed;
  • the suspensory ligament is highlighted;
  • Hemostasis is carried out.

When removing the scrotum, the surgeon pays attention to the mobilization of the ligaments located next to the branches of the dorsal vein and the spermatic cords.

Dissection in the pubic area

This is the first penis enlargement method that was used.Its peculiarity is the following:

  • The excision takes place in the pubic area.
  • large scars remain;
  • high levels of soft tissue trauma;
  • Difficulty during surgery if the patient is overweight;
  • long rehabilitation period;
  • The scar formed does not allow the penis to move fully upward in many cases.

Despite many disadvantages for the patient, this method is considered easier for the surgeon because after an incision in the pubic area there is complete access to the ligamentous apparatus.

Duration and cost of the operation

The duration of surgical procedures depends on the type of operation.If the excision is performed through the pubic bone, the time is between 50 minutes and an hour.10-20 minutes are enough for the scrotal operation.

Ligamentotomy is not performed in government institutions, but mainly in private clinics.The cost of the operation largely depends on the region, the qualification level of the surgeon and the clinic itself, as well as the type of surgical intervention.

Contraindications

Ligamentotomy is prohibited in the following cases:

  • if the size of the genital organ is larger than normal (12 cm);
  • in cases where the normal length of the phallus leads to physical dissatisfaction, not psycho-emotional;
  • In the case of skin diseases, the operation must be postponed because there is a risk of infection;
  • Infectious diseases of the urogenital system;
  • Mental instability confirmed by a psychotherapist.

Consequences of the operation and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences occur:

  • inflammatory processes under the skin in the excision area;
  • initially painful sexual intercourse;
  • suppuration of sutures;
  • pain when urinating;
  • in the first month – decreased erection;
  • Infection;
  • bleeding;
  • Swelling;
  • decreased sensitivity;
  • scarring;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • Prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of sufficient sterility during surgery;
  • Non-compliance of the patient during the rehabilitation period;
  • Use various means to speed up the healing process on your own (without consulting a doctor).

rehabilitation

Not only the quality of the operation affects the result, but also the person's actions during the recovery period.

Consultation with a doctor about rehabilitation after penis enlargement using ligamentotomy

What is included in rehabilitation:

  1. The extender can only be applied on the second day, not earlier.The wearing time is only a few hours.As recovery progresses, the wearing time of the device gradually increases and reaches 8 hours.
  2. Sexual contact in any form is strictly prohibited for 2 weeks.Intimacy should be permitted by the attending physician after a preliminary examination.Otherwise, various complications will arise.
  3. After the operation, magnetic resonance imaging is required to determine its effectiveness.
  4. If a patient uses an expander, it is necessary to visit a doctor frequently for monitoring (the visit time is determined by the doctor individually).
  5. Particular attention is paid to intimate hygiene to prevent infections.
  6. Do not apply ointments and creams to scars yourself.
  7. The sterile dressing is changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to adhere to the rules of a healthy diet.
  10. You are not allowed to drink alcohol or drugs.

Reviews

  • "I had a ligamentotomy through the pubic bone 3 years ago. The operation was successful, but I had an ugly scar, which, however, did not cause any particular discomfort. The only thing is that with a full erection the penis does not protrude all the way up, but in bed this does not matter. By the way, I increased the size by 3.7 cm."
  • "My wife and I had problems in bed; my length was not enough for her, although I am 16 cm long when erect (apparently normal). Since there were no other problems, we decided to have an operation. We went to a private clinic. The price suited me, but the doctors didn't really want to take it on, since I had no deviations, but we convinced her. Before the operation, I had to do a lot of tests and make various diagnoses, but the operation wascompleted."in 15 minutes.As a result, the penis has grown by almost 3 cm, intimate life has improved, there are no scars.”
  • "I performed a ligamentotomy. The price, of course, is not small, but it is worth it. An incision was made on the scrotum. The result is excellent, +5 cm. However, during the rehabilitation period there was severe discomfort in the perineal area, and I also accidentally got an infection, but I immediately ran to the clinic. It's good that you reacted quickly. In general, I tried not to touch the wound further. After only 3I had unhindered sex for weeks.But I warn you that the erection sensitivity was slightly reduced for about a few weeks, but my wife liked that ejaculation did not occur for a long time.After that everything got better.

If you decide to undergo penis enlargement, perform a ligamentotomy, which has many benefits.But weigh all the pros and cons beforehand so that you don't regret it later, and be sure to find a clinic where real professionals work.